Physician
Columbus Children's Clinic
Columbus Children's Clinic was paid $365K by Medicaid between Jul 2019 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCOLUMBUS CHILDREN'S CLINIC
COLUMBUS, GA 31901
COLUMBUS, GA 31901
33aNPI1619430410assigned 04/09/2019
33bProvider typePediatrics Physician
28Total paid$365K
24GClaims11,055
24DCodes billed32
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#74 of 220
Median peer was paid$57K
This provider vs. median6.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 474 | $11K | |
| 2020 | 895 | $37K | |
| 2021 | 1,638 | $64K | |
| 2022 | 2,736 | $90K | |
| 2023 | 2,783 | $85K | |
| 2024incomplete | 2,529 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 2,223 | 1,936 | $140K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 952 | 855 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 857 | 785 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 283 | 265 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.2% | 623 | 568 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 212 | 207 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 179 | 171 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 1,016 | 953 | $11K |
| 90686 | 1.8% | 376 | 339 | $6K | |
| 99173 | 1.2% | 1,037 | 932 | $4K | |
| 90648 | 1.0% | 201 | 193 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 153 | 149 | $4K |
20 more codes
| 92551 | <1% | 844 | $4K | |
| 90671 | <1% | 111 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 46 | $3K |
| 90723 | <1% | 101 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 105 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 91 | $2K |
| 90670 | <1% | 43 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $1K |
| 96127 | <1% | 352 | $1K | |
| 96160 | <1% | 799 | $1K | |
| 90677 | <1% | 28 | $1K | |
| 90656 | <1% | 30 | $593.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $434.00 |
| 90680 | <1% | 12 | $387.90 | |
| 96161 | <1% | 107 | $290.58 | |
| 90633 | <1% | 13 | $257.27 | |
| 85018 | <1% | 56 | $23.34 | |
| 36416 | <1% | 76 | $2.30 | |
| 94760 | 0% | 30 | $0.00 | |
| 99401 | 0% | 35 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVERNEKAR, SHILPA (PEDIATRICIAN)